Tummy tuck also known as an abdominoplasty, a tummy tuck surgery is a form of cosmetic surgery, which is used to remove excess fat and skin from the abdomen as well as tighten the muscles in your abdominal regions. Similar to 'mommy makeovers' (a procedure applicable after pregnancy, which helps women restore their figure). 


Tummy tuck surgery is used to help patients treat that loose and sagging skin who have experienced excessive weight loss within a relatively short period of time. Although, it is usually done for cosmetic reasons, it does provide a large number of medical benefits, such as:


1. Reduction in stress urinary incontinence: Stress Urinary Incontinence is a bladder control problem that is characterized by involuntary urination because of exercises or normal bodily functions such as sneezing or coughing which might put pressure on the bladder. In some women, (SUI) can develop after a vaginal birth. The condition does not generally require a surgery. However, research has shown that in severe cases, abdominoplasty is helpful in patients who do not have a caesarean section. A slight bladder obstruction is made during the procedure using soft tissue which reduces the incontinence.


2. Better posture and improved abdominal tone: Strong muscles tend to become weak after multiple pregnancies and extreme weight loss. In these cases, diet and exercise are not enough. Abdominoplasty surgically removes excess fat and skin thereby, tightening weak muscles and flattening the abdomen. It is noticed that after the surgery, the patients develop an improved posture due to the tightened muscles supporting the spine. This helps in relieving a variety of back pains.


3. Correction of ventral hernia: Ventral Hernia is the bulging out of tissues through a defect, opening or past incisions within the wall muscles of the abdomen. In such a case, the surgeon may opt for Abdominoplasty to support the abdominal wall and prevent recurrences.


Medical Benefits of Tummy Tuck Surgery 

5 Proven ways to burn 2 inches of belly fat in 8 weeks flat!

The fat that builds up in your tummy takes a longer time to burn in comparison to fats that are stored in the other parts of the body. 
Here are 5 effective ways to lose 2 inches of belly fat in just 8 weeks:

1. Go for a brisk walk - Brisk walking for 20 minutes every day can help you to lose 1 inch of belly fat in 4 weeks. Research reveals that going for a walk between 8am and noon is highly beneficial as working out in the morning light gives a boost to your metabolic processes, which enable your body to burn more fat.

2. Cook with coconut oil - Cooking with 2 tablespoons of coconut oil on a daily basis can help you to touch the 2 inches' mark as well. It contains medium chain triglycerides (a type of fatty acids), which are absorbed directly into the bloodstream and do not require bile for breaking them down, leading to faster digestion of fats. Plus, coconut oil doesn't increase your cholesterol levels since its fat content is burned as energy rather than getting stored in your body and causing fat accumulation.

3. Eat 3 hours before sleep - Several studies highlight that having dinner very close to your sleeping hours can hamper your sleep quality and its fat-burning ability. It not only increases your body temperature but also blood sugar and insulin levels while reducing the production of melatonin ( a hormone that regulates sleep-wake cycle) and growth hormone. For this reason, it's best to have the last meal of your day 3 hours before your bedtime so as to allow the stomach acids and enzymes to convert the food into energy.

4. Have more proteins - Several studies show that having a protein-rich diet can be highly effective in reducing belly fat. Consumption of protein can cut down food cravings by 60%, enhance metabolic rate by about 80-100 calories a day, and reduce daily calorie intake by about 441 fewer calories/ day. Both animal protein and plant protein have been found to be effective against belly fat. Try including low-fat dairy products, fish, chicken, soybeans etc in your diet to shed extra inches from your tummy.

5. Include choline-rich foods in your diet - Choline is a water-soluble nutrient that acts on those genes that are responsible for fat storage. It breaks down fat in the body and uses it as energy instead. This nutrient is found in abundance in eggs, seafood collard green, and lean meats.

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5 Proven Ways to Burn 2 Inches of Belly Fat in 8 Weeks Flat!

Hunner's ulcers, simply put are painful ulcers in your urinary bladder. These ulcers are inextricably linked to another disorder called the painful bladder syndrome or intestinal cystitis. They occur in 10 to 15 percent of people with interstitia cystitis. These, in fact, are red patches or lesions on the bladder wall which can stiffen tissue and cause reduced bladder capacity. Hunner s ulcers bleed, ooze pus and can be of different sizes. The ulcers in the bladder can be extremely painful and uncomfortable.

These are called Hunner s ulcers because they were first described by Dr. Guy LeRoy Hunner, a Johns Hopkins gynecologist, in 1915. Since Hunner s ulcers are seen only in people with intestinal cystitis, it s important to know more about this painful life-altering bladder disorder before we can even understand how to deal with them.

Interstitial cystitis (IC)
IC is also called painful bladder syndrome. Another important thing to know about IC is that it strikes more women than men. IC is a chronic disorder and there s no cure for it. It causes recurring bouts of pain and pressure in the urinary bladder and the pelvic area. This is often accompanied by an urgent and frequent need to urinate. Sufferers may have to rush to the  loo  as much as 40, 50, or 60 times a day.

Diagnosis
Hunner's ulcers can only be accurately diagnosed by doing a cytoscopy which involves inserting a fibre-optic tube through the urethra to look at the bladder wall closely. During this procedure, a tissue sample from the bladder wall is usually also taken to rule out bladder cancer. Cytoscopy is usually done with hydrodistention under local anesthesia. This involves filling the bladder with a liquid for stretching it to provide a closer view of the bladder wall. Usually, a urologist performs this surgery along with a gynaecologist. IC and also Hunner s ulcers are both a diagnosis of exclusion. This means that they re diagnosed only after a number of other conditions have been ruled out.

Hence, the urologist will first take your thorough medical history, followed by a physical exam and a pelvic exam for women patients and perform tests for ruling out infection, and other disorders like bladder stones and cancer, kidney disease, multiple sclerosis, endometriosis, sexually transmitted diseases amongst others. Only after these tests are inconclusive or uncertain and if there is blood in urine, will the urologist go for cystoscopy.

Treatment
There's no cure for IC, but Hunner s ulcers can be cured by burning them off the bladder wall. Called fulguration, the process uses electricity or laser to burn the ulcers on the bladder wall. Resection is also used in which skin from around the Hunner s ulcer is cut for removing both the ulcer and the inflamed tissue around it. The problem is that ulcers may recur in the same location.
So, managing IC becomes critical. Your doctor can try to treat the patient with one treatment or with a combination of treatment depending on the condition of the patient.

Pain medicines are the first line of treatment to manage Hunner s ulcers and IC both, and many patients do go in for this. Patients also find relief by modifying their diet to remove foods and drinks like caffeinated beverages- tea, coffee, colas etc. Sodas, artificial sugars and fruit juices, especially Cranberry juice can trigger intense pain and discomfort, so these are usually contraindicated. Another important aspect is patient education about normal bladder function and tips on self-care and behavioural modifications like stress control to manage Hunner s ulcers.

Hunner's Ulcer In Urinary Bladder - How They Can Be Treated?

The body s reacts to anything suspicious by developing an allergic reaction. Some of the common substances inducing this reaction include certain food substances, pollen, insect bites and certain metals. This body recognises these suspicious substances as antigens and produces what is known as antibodies. These produce various allergic reactions in the body ranging from something as minor as a skin rash to something drastically fatal as respiratory distress and even death.

Features:

Angioedema is one of the most severe forms of allergic reactions.
Translated literally as swelling of the blood vessels, angioedema causes swelling of the blood vessels in the underlying layers and this can lead to the formation of giant hives.
The hives or rashes are extremely itchy, reddish, and can vary in shape (oval or circular). The hives also are warm and painful when touched.
Angioedema usually affects the skin but can have more severe effects like blocking the airway and leading to respiratory distress
Causes: Angioedema is usually caused by one of the following:

Insect bites or stings
People with allergies to foods like peanuts, eggs, milk, shellfish, chocolates, tree nuts, etc.
Pollen, animal dander, latex, poison ivy, and other common allergens
Medicines like penicillin, aspirin, ibuprofen, and some anti-hypertensives
Autoimmune skin disorders like lupus
Reaction to incompatible blood transfusions
Weather conditions like extremes of cold, heat, or pressure
Infections like hepatitis, cytomegalovirus infections, Epstein-Barr infections, etc.
Conditions like leukaemia and thyroid disorders
Extreme emotional stress
Genetic angioedema, inherited from parents by children, which can last forever
Risk factors: Though hives usually develop without any warning signs, the following are some risk factors for developing angioedema.

Previous history of allergies
Predisposition to develop allergic reactions (overactive immune system)
Genetic history of allergies, especially of angioedema
Diagnosis:

In first-time patients, a detailed history with deep dive into similar instances in the past will be done
A physical exam to check for missed hives (like the back) is then done
Allergy testing may also be required to test if a person has a high predisposition to allergies
Blood testing to check for eosinophils, which is usually high in patients with allergies, is done.
Allergy testing to identify the trigger agent may be done if trigger is not known. This will help in preventing further attacks.
If genetic angioedema is suspected, C1 esterase inhibitor test and complement particles are also checked.
Treatment:
Non-medical treatment including loose clothing, cool compresses, and copiously moisturizing to reduce dryness and itching. This is usually sufficient in majority of the cases.
Medical: Antihistamines like cetirizine and loratadine are the next line of treatment. Very severe cases may require steroids like prednisone.


Angioedema - 11 Reasons Why It Can Happen!

At this point of time, diabetes is one of the most chronic, fastest growing lifestyle disease in the world. Also known as diabetes mellitus, the condition is basically a metabolic disorder, wherein the human body cannot store and use fuel for the energy. This fuel or glucose is the one that powers all our bodily organs and ensures that we have the energy to carry out activities throughout the day.

And while diabetes is a popular medical condition, a lot of people don't have much information about it. Although, they know the major types of diabetes, they have no clue about the difference between them. Here we outline type I vs type ii diabetes-

***Type I diabetes- Formerly known as juvenile onset or insulin dependent diabetes, type I diabetes is the one in which your body's immune system destroys all kinds of cells that release insulin. Over a period of time, this results in elimination of insulin production from the body, because of which the cells cannot absorb glucose or sugar and produce energy. Type I diabetes have episodes of low blood sugar level and it cannot be problem. Symptoms usually start from childhood or young adulthood.

***Type ii diabetes- The adult onset or non-insulin dependent diabetes can develop at any age, particularly after the 30s, although the cases of same are rising rapidly among children. This type of diabetes involves production of insulin, but not in a right way, a condition known as insulin resistance. For this kind of diabetes, the person usually might not have symptoms before the diagnoses and there are rarely any episodes of low sugar level. It can be easily prevented or delayed by following a healthy lifestyle and indulging in regular exercising.

If you have any of the above symptoms or have more questions related to diabetes, click on consult privately to ask me.

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You Surely Know About Diabetes. But Do You Know Its Various Types?

About a 45 percent of adults snore occasionally, and although most people tend to ignore it, snoring is a problem that must be dealt with consideration. There are many families where one spouse snores and keeps the other person from a good night s sleep. It has been reported that snoring can create severe disputes in marriage and one who snores must take steps to control snoring.

Snoring is not simply a nuisance, but a major proportion of individuals who snore are affected with obstructive sleep apnea by which breathing is disrupted while a person is fast asleep. This condition increases the risk of heart diseases. Fortunately, there are ways to control a person's snoring.

Weight loss: Having a large neck circumference and being overweight increases the risk of pushing the fat down at the throat resulting in snoring. With a suitable weight loss training, one can control the snoring to a considerable extent.
Altering sleep positions: Sleeping on the sides help in forbidding the tongue from resting backwards and blocking the throat while sleeping. Some specially created pillows can help the individuals from rolling back during sleep.
Limit alcohol intake: Drinking alcohol contributes to further relaxation of muscles in the airways and collapse the path which makes snoring even worse. Limiting consumption of alcohol and avoiding to drink it at least 4 to 5 hours before going to bed can reduce snoring to a significant extent.
Stop smoking: Smoking invariably leads to nasal congestion as well as inflammation which in turn worsen snoring. If one is running out of reasons to avoid smoking, then this is one of the most convincing reasons to quit smoking and enjoy overall good health.
Certain medications: There are some medicines, particularly sedatives and antihistamines are designed to have a relaxing effect and can, therefore, aggravate snoring. But it is advised to consult with the general physician before making any alterations in the medicine routine.
Avoid opening the mouth: Those who are aware of snoring with the mouth open must avoid opening the mouth during sleep by using a specifically designed tape or adhesive for closing shut the mouth while sleeping.
Using specialised device: The mandibular advancement device is specifically crafted for those who suffer from tongue-based snoring. This equipment helps in moving the jaw forward as well as prevent the tongue from blocking the backside of the throat while sleeping.
Avoid nasal collapse: Those who suffer from nasal collapse must use some form of adhesive nasal dilator strip which has to be placed over the nose. This would aid in keeping the airways open as well as reduce snoring.
Treat allergies: Inflammation, as well as nasal congestion triggered by allergies, is a common cause of snoring while sleeping. One must opt to do an allergy test to identify and reduce potential allergens in the area where the individual sleeps such as bedding type, pet hair, dust mites, wheat or dairy intolerance and lessen snoring.
Thus, snoring can be controlled before it becomes a problem.

Snoring - 9 Ways You Can Prevent It!

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